| Christy Caffey-earle, Dds, Pa | |
|
3301 Long Prairie Rd Suite 110 Flower Mound TX 75022-2702 | |
| (972) 874-1200 | |
| (972) 874-9332 |
| Full Name | Christy Caffey-earle, Dds, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3301 Long Prairie Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Christy Caffey-earle (PRESIDENT) |
| Authorized Official Contact | 9728741200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christy Caffey-earle, Dds, Pa 3301 Long Prairie Rd Suite 110 Flower Mound TX 75022-2702 Ph: (972) 874-1200 | Christy Caffey-earle, Dds, Pa 3301 Long Prairie Rd Suite 110 Flower Mound TX 75022-2702 Ph: (972) 874-1200 |
| NPI Number | 1205117736 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 0345641080 |
|---|---|
| Medicare Enrollment ID | O20210701001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205117736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19780 (Texas) | Primary |
| Provider Name | Christy Caffey-earle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780602839 PECOS PAC ID: 6002118833 Enrollment ID: I20210701001113 |
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